Effect of Telenursing on Levels of Depression and Anxiety in Caregivers of Patients with Stroke: A Randomized Clinical Trial

Maryam Goudarzian, Masoud Fallahi-Khoshknab, Asghar Dalvandi, Ahmad Delbari, Akbar Biglarian


Background: Telenursing is a low‑cost, highly accessible method that can lead to increased awareness on the principles of care, and may eventually help reduce the stress experienced by caregivers of patients with stroke. The present study aimed to investigate the effect of telenursing through phone consultation on the levels of depression and anxiety in family caregivers of patients with stroke.

Materials and Methods: This was a randomized clinical trial including 152 caregivers of stroke patients discharged from Mohammad Vase’ee Hospital in Sabzevar in 2016. Participants were recruited through purposive sampling method and were randomly assigned to control (n = 76) and intervention (n = 76) groups. The intervention consisted of 32 sessions of phone consultation. Research tools included demographic characteristics form, needs assessment questionnaire, Beck Depression Inventory, and Beck Anxiety Inventory. Data were analyzed with independent t test using SPSS, version 23.

Results: Mean (SD) post‑intervention anxiety scores for the intervention and the control group were statistically significant (t = 3.51, p = 0.001). However, the difference in mean depression scores after intervention was not significant (p = 0.70).

Conclusions: Telenursing can be employed to facilitate the care of chronic patients as well as increase the psychological well‑being of the caregivers through providing practical and specialized information.



Anxiety, caregivers, depression, stroke, telenursing

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